License holder summary

Padmavathi Tummala is a Physician Assistant licensed to practice in Indiana. The address on file for Padmavathi Tummala is Fort Wayne IN 46825. This licensed professional license is current. The license was granted 05/13/2013 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Padmavathi Tummala
Physician Assistant
License number
10001516A
Date granted
05/13/2013
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Fort Wayne IN 46825
indianalicensing.org
ID 8389951
LAST UPDATED 2024-06-14 08:14:03 UTC

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